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A biomechanically based concept for a stronger obstetric anal sphincter repair.

Peter Emanuel PetrosAkin SivasliogluElvira BratilaPetre BratilaBurghard Abendstein
Published in: International urogynecology journal (2020)
We have analyzed causes of sphincter repair failure, introduced a graft method, preferably autologous, for the prevention thereof and supported ultrasound assessment, rather than the absence of fecal incontinence as the criterion for success of EAS repair. Although based on well-established biomechanical principles, our proposal at this stage remains unproven. Our hope is that these concepts will be challenged, clarified, and tested, preferably in a randomized controlled trial.
Keyphrases
  • urinary incontinence
  • magnetic resonance imaging
  • pregnant women
  • bone marrow
  • stem cells